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고혈관성 종양으로 오인된 Trichophyton verrucosum에 의한 두피 백선종창 1례
Kim Kyung-Ran,Park Hwanhee,Kim Doo Ri,Yoon Yoonsun,Jeon Chiman,Lee Sanghoon,Lim So Young,Kim Ji Hye,Kim Yae-Jean 대한소아감염학회 2022 Pediatric Infection and Vaccine Vol.29 No.2
A dermatophyte is a zoonotic infection that causes infection on the skin, hair, and nails and is transmitted through contact. The species of Microsporum, Trichophyton, and Epidermophyton are the major dermatophytes that infect humans. Tinea capitis is a dermatophyte infection in the scalp, and it may progress to kerion celsi, including severe redness, swelling, and pus formation. Kerion celsi is sometimes misdiagnosed as a bacterial infection or a tumor. Trichophyton verrucosum is a zoophilic dermatophyte that mainly causes infection in cattle. It can be spread to dairy farmers or ranchers who have frequent contact with infected cattle. We report a pediatric case who received scalp tumor excision and a split-thickness skin graft for extensive and severe inflammatory scalp tumors that occurred after contact with cattle with ringworm. Finally, the patient was diagnosed with kerion celsi caused by T. verrucosum infection. This was based on the patient’s medical history, clinical manifestations, and histopathologic findings. 피부사상균은 접촉을 통해 피부, 모발, 손발톱 등에 감염을 일으키며, 심한 경우 백선종창으로 진행되기도 한다. 건강했던 4세 여자 환자가 심한 두피병변으로 내원하여 세균, 진균감염뿐만 아니라 고혈관성 종양도 의심되어 두피 종양 절제술과 피부이식까지 받았다. 저자들은 면밀한 병력청취와 신체 진찰 및 임상양상을 토대로 Trichophyton verrucosum을 의심하여, 최종적으로 조직병리검사 소견을 종합하여 T. verrucosum에 의한 백선종창으로 진단 및 치료한 증례 1 례를 보고하는 바이다.
Myositis as an Initial Presentation of Ulcerative Colitis before Gastrointestinal Symptoms
Kim, Doo Ri,Kim, DongSub,Choi, SangJoon,Suh, Yeon-Lim,Yoo, So-Young,Kim, Mi Jin,Choe, Yon Ho,Kim, Yae-Jean The Korean Society of Pediatric Gastroenterology 2020 Pediatric gastroenterology, hepatology & nutrition Vol.23 No.3
The musculoskeletal system can be involved as an extra-intestinal manifestation of inflammatory bowel disease. Among these, myositis in ulcerative colitis (UC) is very rare. A 14-year-old girl was admitted due to severe shoulder tenderness. She had complained of left jaw pain and swelling for the past 10 days. Inflammatory markers were elevated with no evidence of infectious etiology. Myositis was suspected by shoulder magnetic resonance imaging. Three days after admission, she developed hematochezia. Muscle biopsy and colonoscopy was performed due to worsening left mandibular area pain and persistent hematochezia. Colonoscopy showed consistent findings with UC. She was finally diagnosed with UC with myositis as an extra-intestinal manifestation. She showed a dramatic response to UC treatment. Gastrointestinal symptoms were well-controlled. After 14 months, UC symptoms and muscle pain were aggravated, which were relieved after steroid and cyclosporin treatment. We report a unique case of UC initially presented with myositis, preceding gastrointestinal symptoms.
The relation between idiopathic scoliosis and the frontal and lateral facial form
Tae-Hwan Kim,Joo-Hwan Kim,Yae-Jin Kim,Il-Sik Cho,Yong-Kyu Lim,이동렬 대한치과교정학회 2014 대한치과교정학회지 Vol.44 No.5
Objective: The purpose of this study was to evaluate the relation between idiopathic scoliosis and facial deformity in the horizontal, vertical, and anteroposterior planes. Methods: A total of 123 female patients aged 14 years or older, who visited the Spine Clinic at the Department of Orthopedics, Korea University Guro Hospital for treatment of idiopathic scoliosis, were enrolled. Whole-spine anteroposterior and lateral radiographs were taken with the patient in a naturally erect position, and frontal and lateral cephalograms were taken in an erect position with the Frankfort horizontal line parallel to the floor. Scoliosis was classified according to the Cobb angle and Lenke classification of six curve types. Cephalometric tracing in all cases was carried out with V-Ceph 5.5 by the same orthodontist. The Kruskal-Wallis test was performed to determine whether any relation existed between each group of the idiopathic scoliosis classification and the cephalometric measurements of frontal and lateral cephalograms. Results: The measurements did not reveal any significant association between the Cobb angle and cephalometric measurements and between the curve type based on the Lenke classification and cephalometric measurements. Conclusions: Based on the results of this study, no apparent relation was observed between the severity of scoliosis and facial form variations in idiopathic scoliosis patients.
Evolving outcomes of peritoneal dialysis: secular trends at a single large center over three decades
( Minjung Kang ),( Yae Lim Kim ),( Eunjeong Kang ),( Hyunjin Ryu ),( Yong Chul Kim ),( Dong Ki Kim ),( Hajeong Lee ),( Seung Seok Han ),( Kwon-wook Joo ),( Yon Su Kim ),( Curie Ahn ),( Kook-hwan Oh ) 대한신장학회 2021 Kidney Research and Clinical Practice Vol.40 No.3
Background: Peritoneal dialysis (PD) is improving as a renal replacement therapy for end-stage renal disease (ESRD) patients. We analyzed the main outcomes of PD over the last three decades at a single large-scale PD center with an established high-quality care system. Methods: As a retrospective cohort study, we included participants (n = 1,203) who began PD between 1990 and 2019. Major PD-related outcomes were compared among the three 10-year cohorts. esults: The 1,203 participants were 58.3% male with a mean age of 47.9 ± 13.8 years. The median PD treatment duration was 45 months (interquartile range, 19-77 months); 362 patients (30.1%) transferred to hemodialysis, 289 (24.0%) received kidney trans-plants, and 224 (18.6%) died. Overall, the 5- and 8-year adjust patient survival rates were 64% and 49%, respectively. Common caus-es of death included infection (n = 55), cardiac (n = 38), and cerebrovascular (n = 17) events. The 5- and 8-year technique survival rates were 77% and 62%, respectively, with common causes of technique failure being infection (42.3%) and solute/water clearance problems (22.7%). The 5-year patient survival significantly improved over time (64% for the 1990-1999 cohort vs. 93% for the 2010-2019 cohort). The peritonitis rate also substantially decreased over time, from 0.278 episodes/patient-year (2000-2004) to 0.162 episodes/patient-year (2015-2019). Conclusion: PD is an effective treatment option for ESRD patients. There was a substantial improvement in the patient survival and peritonitis rates over time. Establishing adequate infrastructure and an effective system for high-quality PD therapy may be warranted to improve PD outcomes.
한약조제 지침서 100처방을 구성하는 생약 성분별 안전성과 상호작용에 대한 연구
김정은(Jeong Eun Kim),박종선(Jong Sun Park),김도연(Do Yeon Kim),류예진(Yae Jin Yu),김지은(Ji Eun Kim),임성실(Sung Cil Lim) 대한약학회 2021 약학회지 Vol.65 No.2
Currently in Korea, hundreds of herbs can be prescribed by an oriental medicine doctor or sold by a pharmacist to treat mild diseases or improve health conditions for the same indication. And it can be happened to the same patient at the same time. However, there is no monitoring system for the oriental medical doctors and pharmacists to check the drug interaction or duplicate the administration. Herbal medicine contains pharmacologically bioactive ingredients, and when administered without assessment of the patient s disease and/or preexisting health conditions, it may overdose, duplicate, or showed unexpected harmful effects. The study was conducted through collecting information based on the secondary research using PubChem, PubMed, etc. and the evaluation of various source of additional primary information through literature survey. The result showed if 151 herbs use without caution under supervision or monitoring, those may revealed pregnancy contraindication, severe drug indications, liver, renal, cardiovascular, and/or gastrointestinal (GI) functions and blood glucose, etc. Only 61 herbs were identified to be safe for pregnant women and the most frequency side effect is GI problems. In conclusion, the result is very meaningful but available information is still limited and need to further research in future.
송경애(Sohng Kyeong-Yae),김종임(Kim Jong Im),최동원(Choi Dong-Won),김애경(Kim Ae Kyung),정승교(Chaung Seung-Kyo),김경희(Kim Kyunghee),박선남(Park Sun-Nam),백훈정(Paik Hoonjung),임난영(Lim Nan Young),장성옥(Chang Sung-Ok) 기본간호학회 2008 기본간호학회지 Vol.15 No.3
Purpose: The purpose of this study was to analyze articles published in the Journal of Korean Academy of Fundamental Nursing from 2001 to 2007. Method: Three hundred articles were analyzed using descriptive statistics. The focus was on research type, methodolgy and keywords. Results: Thirty percent of the research was supported financially. Ninety-four percent was quantitative research and of these the majority were surveys (73.2%). The rate of adoption for hypotheses in experimental studies were 55.07% but only 3% of the research included conceptual framework. The most common settings for data collection were clinical settings (51.99%), followed by community settings (43.71%). For data analysis, descriptive statistics (27.5%), t-test (17.1%), ANOVA (15.3%) and chi-square (7.9%) were most frequently used. Keywords were categorized into four nursing metaparadigms : human-beings, health, nursing, and environment. The most frequently used domain was health. Conclusion: The number of research papers published in the Journal of Korean Academy of Fundamental Nursing has increased and the quality has improved compared with articles published before 2001 year. Research topics varied and were mostly conducted on the basis of logical positivism.
마우스 사육에 있어서 깔짚의 종류에 따른 물리적,화학적 성상의 변화에 관한 연구
임준성 ( Jun Sung Lim ),신동석 ( Dong Seok Shin ),조진연 ( Jin Youn Choi ),김현석 ( Hyun Seok Kim ),김민수 ( Min Su Kim ),임현 ( Hyun Im ),안재범 ( Jae Bum Ahn ),송지예 ( Ji Yae Song ),김현철 ( Hyeon Cheol Kim ),정기수 ( Ki Soo J 한국가축위생학회 2006 韓國家畜衛生學會誌 Vol.29 No.1
The type of bedding material has been reported affect the environment and animal well-being. Therefore, it has an impact on the health. So, bedding material is the most important factor in mouse environments. If it is not properly treated, experimental results are unreliable. In this study, various types of bedding material were evaluated in terms of physical characteristics and preference. It was found that bedding material consisting of large fibrous particles and wide inter-particular gap were preferred. The characteristics of bedding material were further investigated by scanning the size and shape of particles. The results show that physical characteristics such as shape, ammonia absorption, particle size effect on experimental data.